Jacquelyn Hall-Davis,m.d. Ltd

NPI #1699173542 in O Fallon, Illinois

Provider Information

NPI Number: 1699173542
Entity Type: Organization
Organization Name: Jacquelyn Hall-Davis,m.d. Ltd
Primary Specialty: Psychiatry & Neurology - Child & Adolescent Psychiatry
Enumeration Date: Dec 9, 2014
Last Updated: Dec 9, 2014

Practice Location

Address: 1669 WINDHAM WAY
Address 2: SUITE B
City: O Fallon
State: Illinois
ZIP Code: 62269-3072
Phone: (618) 622-9240

Authorized Official

Name: DR. JACQUELYN HALL-DAVIS, M.D.
Title: PRESIDENT
Phone: (618) 622-9240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X	Primary

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